Denisa Broome Wilson, FNP-C in Richland, MS - Medicare Nurse Practitioner

Denisa Broome Wilson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Richland, Mississippi. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Central Mississippi Civic Improvement Association, Inc and her current practice location is 907 Us 49, Richland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 374-5263.

Denisa Broome Wilson is licensed to practice in Mississippi (license number 905068) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134871007.

Contact Information

	Denisa Broome Wilson, FNP-C
	907 Us 49, Richland, MS 39218
	(601) 374-5263
	Not Available

Map and Direction

Provider's Profile

Full Name	Denisa Broome Wilson
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	907 Us 49, Richland, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Denisa Broome Wilson graduated from nursing school in 2021

NPI Data:

NPI Number: 1134871007
Provider Enumeration Date: 01/21/2022
Last Update Date: 05/19/2022

Medicare PECOS Information:

PECOS PAC ID: 7719374255
Enrollment ID: I20220502000012

Medical Identifiers

Medical identifiers for Denisa Broome Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134871007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905068 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Mississippi Civic Improvement Association, Inc	4183533235	49

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Denisa Broome Wilson allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Civic Improvement Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Denisa Broome Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Denisa Broome Wilson, FNP-C Po Box 490, Utica, MS 39175-0490 Ph: () -	Denisa Broome Wilson, FNP-C 907 Us 49, Richland, MS 39218 Ph: (601) 374-5263

Reviews and Comments

Nurse Practitioner Nurses in Richland, MS

Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S, Suite 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-932-6437
Laquana Daniels, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Rhemann Blvd, Richland, MS 39218 Phone: 601-248-5198
Mr. James A Marx, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Highway 49 S, Suite 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-932-6437
Ashley Smith Allen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 Phone: 769-233-7141
Linda Nell Hunter, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S Ste 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-664-0006
Jason Michael Butler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Center St Ste B, Richland, MS 39218 Phone: 769-233-7141

Denisa Broome Wilson, FNP-C - Medicare Nurse Practitioner in Richland, MS